07-3240 (MFD5) Type A-3P.O BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 07-00003240
Property Address: 47795 DUNE PALMS RD
APN: 600 -020 -030 -
Application description: DWELLING - 5 OR MORE FAMILY
Property Zoning: REGIONAL COMMERCIAL
Application valuation: 979782
Architect or Engineer:
Of
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-701.2
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
COACHELLA VALLEY HOUSING COALI
457.61 MONROE ST 1-G
INDIO, CA 922.01
Contractor: D
BROWN CONSTRUCTION, INC.
PO BOX 980700
WEST SARAMENTO, CA 95798
(,916) 37.3-93.00
LiC. No.: 396120
Date: 1/25/'08
JAN 2 5 2008
CITY OF LA
-------------------------------------------------------------------------------------------------
'LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty. of perjury that I am licensedunderprovisions of Chapter 9 (commencing with
I hereby affirm under°penalty of.perjury one.of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is.in full force and effect.
_ I.have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: B License No.i 396120
for by Section 3.700 of the Labor Code,.for the performanoe of, the work for which this permit is
�+ F �ZOwj
C actor: �{�+V
issued.
�I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of�the work for which this permit is.isued. My workers' compensation
• OWNER:BUILDER DECLARATION
insurance: carrier andpolicy number are,
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law.for the
Carrier AMER INC Policy Number 34244.77
following reason (Sec. 7031.5, Business and:Profesions Code; Any city or county that requires a permit to
_ I:certify that, in the performance of the.work,for which this permit is:issued, I shall not employ any
construct, alter, improve; demolish, or repair any structure, prior to its issuance, also requires the applicant fovthe
person in any inanner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement'that he.or she is licensed pursuant to the provisions of the:Contractor's State
and agree that, if I should becomesubject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Seamon 7606) of Division 3 of the Business and Professions Code) or
3700 of the Labor Co all forthwith comply w�t�ns.
that he or she is exempt°therefrom and the,basis for,the alleged exemption. Anyviolation of Section 7031.5 by
1
any'applicant for a permit subjectsthe applicant to a civil penalty of not more than five hundred dollars (5500).:
• Ap ant:�
(_) as owner of the property, or my employees' with wages as their sole compensation, will do the work, and
the structure1s not intended or offered.forsale (Sec. 7044, Business and Professions Code: The
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE:IS UNLAWFUL, AND SHALL
Contractors' State License Law does -not apply to an owner of property who builds or improves thereon,
SUBJECT AN. EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO, THE COST OF• COMPENSATION, DAMAGES AS -PROVIDED FOR IN
improvements are not intended or offered for sale. If, however,. the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY+S FEES.
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
(_ 1 1, as owner of the property, am exclusively contracting with,licensed contractors to construct the project (Sec.
7044; Business and Professions Code: The Contractors' State License:LaWdoes not.apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a-contractor(s) licensed
pursuant to the Contractors" State License Law.).
1 _ 1 I am exempt under Sec. , BAP.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby'Wfirm under penalty of perjury that there is.a construction: lending agency for the performance of the
work,for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: ��)—
Lender's Address: w
LQPERMIT
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the.
conditions and restrictions set forth on this application.
1. Each person upon whose behalf this'application'is made, each persomat whose request and for
whose benefit work is performed under or pursuant to any permit issued as aresult of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a, result of this application' becomes null and void if work isnot commenced
within 180 days from.date of issuance, of`such permit, or cessation of work for 180 days will subject
permit mcanceflation.
I certify that I have read this application and state that the above information is correct. I agree.to comply with all
city and county ordinances and.state: laws relating to buildingconstruction, and hereby authorize representatives
of thi to cou111�ty - niter upo fie above-mentiwtet• VgUr _ ction purposes. t.
Date: ,1 L ignature (Applicant or Agent):
Application Number . . . 07-00003240
Structure Information 16,333SF [TYPE:A-3]/V-lHR/RES-1/11-DU
Other struct info . . . . . CODE EDITION
2001/2004/2005
## BEDROOMS
29.00
FIRE SPRINKLERS
FULLY
FLOOD ZONE
NO
GARAGE SQ FTG
1980.00
PATIO SQ FTG
1330.00
NUMBER OF UNITS
11.00
1ST FLOOR SQUARE FOOTAGE
5106.00
2ND FLOOR SQUARE FOOTAGE
67.10..00
3RD FLOOR SQUARE FOOTAGE
1047.00
Permit . . . BUILDING PERMIT
Additional desc . .
Permit. Fee . . . . 3479.50
Issue Date . . . .
Expiration Date . . 7/23/08
Plan Check Fee.. . 565.42
Valuation . . . . 979782
Qty Unit
Charge
Per
Extension.
BASE
FEE
2039.50
480.00
3.0.000
THOU BLDG
500,001-1,000,000
1440.60
Permit .
. .
MECHANICAL
Additional desc-
escPermit
PermitFee . .
. .
339.00
Plan Check Fee
19.93
Issue Date . .
. .
Valuation . . . .
0
Expiration Date
7/23/08
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
11.00
4.5000
EA MECH-VENT
INST/ DUCT ALT
4.9.50
11.00
9.0000
EA MECH
B/C <=3HP/100K BTU
99.00
16.00
6.5.000
EA MECH
VENT FAN
104.00
11.00
--------------------------------------------------------------------------------
6.5000
EA MECH
EXHAUST HOOD
71.50
Permit .
. .
ELEC-NEW RESIDENTIAL
Additional desc
. .
Permit Fee . .
. .
443.69
Plan Check Fee
27.73
Issue Date
. .
Valuation_ . . . .
0
Expiration Date
7/23/08
Qty Unit
Charge
Per
Extension
BASE
FEE
15.00
12863.00
..03.00
ELEC'NEW
RES - MULTI FAMILY
385.89
LQPERMIT
Application Number . . . . . 07-00003240
Permit . . . . . . ELEC-NEW RESIDENTIAL
Qty Unit Charge Per Extension
2140.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 42.80
Permit PLUMBING
Additional desc . .
Permit Fee . . . . 822.00
Issue Date . . .
Expiration Date . . 7/23/08
Plan Check Fee . . 49.68
Valuation . . . . 0
Qty
Unit Charge
Per
BASE FEE
Extension
-------------------------------------------------------------------------------
Special.Notes and Comments
BASE FEE
15.00
81.00
6.0000
EA
PLB
FIXTURE
486.00
1.00
15.0000
EA
PLB
BUILDING SEWER
151.00
11.00
7.5000
EA
PLB
WATER HEATER/VENT
82.50
11:00
3.0000
EA
PLB
WATER INST/ALT%REP
33.0.0
1.00
9.0000
EA
PLB
LAWN SPRINKLER SYSTEM
9.00
22.00
.7500
EA
PLB
GAS PIPE >=5
16.50
11.00
15.00.00
EA
PLB
GAS METER
165.00
Permit . . . GRADING.PERMI:T
Additional desc..
Permit Fee . . . . 15.00'
Issue Date . . .
Expiration Date . . 7/23/08
Plan Check Fee . . .00
Valuation . . . . 0
Qty Unit Charge Per
Extension
BASE FEE
15.00
-------------------------------------------------------------------------------
Special.Notes and Comments
16,333SF [TYPE:A-3]/V-1HR/RES-1/11-UNITS
- ALLOWABLE AREA INCREASES: MULTISTORY /
FIRESPRINKLERS [3STORIES/42,000SF MAX]
THIS PERMIT DOES NOT INCLUDE SITEWALLS,
SITE LIGHTING, CARPORTS OR TRASH
ENCLOSURES. 2001 CBC, CPC, CMC, 2004
CEC, 2005 ENERGY CODE. *'*REDUCED FEE*'*
[BUILDING: 2300 - TYPE: A-31
December 28, 2007 3:45:13 PM AORTEGA
---------- -----------------------------------------------------------------
Other Fees . . . . . . . ACCESSIBILITY
PLAN REVIEW
56.54
ART IN PUBLIC
PLACES -RES
19.49.45
DIF COMMUNITY
CENTERS -RES
80.3.00
DIF CIVIC CENTER - RES
2519.00
ENERGY REVIEW
FEE
56..54
LQPERMIT
Application Number . . . . 07-00003240
------------------------------------------
Other Fees . . . DIF
-----------------------------------
FIRE PROTECTION -RES
352.00
DIF
LIBRARIES - RES
3828.00
DIF
PARK MAINT FAC -
RES
231.00
DIF
PARKS/REC - RES
9636.00
STRONG MOTION (SMI) -
RES
97.97
DIF
STREET MAINT FAC
-RES
429.0.0
DIF
TRANSPORTATION -
RES
12397.00
Fee summary Charged
Permit Fee Total 5099.19
Plan Check_ Total 662..76
Other Fee Total 32355.50
Grand Total 3.8117.45
LQpmmrr
Paid Credited Due
.00 .00 5099.19
.00 .00 662.76
.00 .00 32355.50
.00 .00 38117.45